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Case Reports
Chronic Pulmonary Histoplasmosis Diagnosed in a Nonimmunosuppressed Patient 10 Years After Returning From an Endemic Area
Manuel García-Marróna,
Corresponding author
mgamarron-1@yahoo.es

Correspondence: Dr M. García-Marrón Sección de Neumología, Hospital San Agustín Camino de Heros, 4 33400 Avilés, Asturias, Spain
, José María García-Garcíaa, Mercedes Pajín-Colladab, Fernando Álvarez-Navascuésa, Manuel A. Martínez-Muñiza, Andrés A. Sánchez-Antuñaa
a Sección de Neumología, Hospital San Agustín, Avilés, Asturias, Spain
b Servicio de Urgencias, Hospital San Agustín, Avilés, Asturias, Spain
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">We report the case of a Spanish nonimmunosuppressed patient who was a chronic alcoholic and who developed chronic cavitary pulmonary histoplasmosis&#46; He had been living in Venezuela until 10 years ago&#46; The diagnosis was established when <span class="elsevierStyleItalic">Histoplasma capsulatum</span> was cultured from bronchoscopy samples&#46; The patient was treated with itraconazole and progressed favorably until cure&#46; This case suggests that histoplasmosis can reactivate years after exposure&#44; even when significant immunodeficiency is not present&#46; In the absence of another immunosuppressive factor&#44; alcoholism may have played a role in the development of the condition&#46;</p>"
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        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">Se presenta el caso de un paciente espa&#241;ol&#44; no inmunodeprimido&#44; con alcoholismo cr&#243;nico e histoplasmosis pulmonar cavitaria&#44; cr&#243;nica&#44; que hab&#237;a residido 10 a&#241;os antes en Venezuela&#46; El diagn&#243;stico se estableci&#243; por cultivo de <span class="elsevierStyleItalic">Histoplasma capsulatum</span> en muestras de broncoscopia y el tratamiento consisti&#243; en itraconazol&#44; con buena evoluci&#243;n y curaci&#243;n&#46; Este caso apoya la posibilidad de que la histoplasmosis pueda reactivarse a&#241;os despu&#233;s de la exposici&#243;n y sin que haya inmunodepresi&#243;n cl&#237;nicamente importante&#46; Se plantea que&#44; en ausencia de otro factor inmunodepresor&#44; el alcoholismo podr&#237;a haber desempe&#241;ado alg&#250;n papel en el desarrollo del cuadro&#46;</p>"
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                            0 => "JM Torres-Rodr&#237;guez"
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Article information
ISSN: 15792129
Original language: English
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